摘要
目的:探讨急性非梗阻性胆源性胰腺炎患者施行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的可行性及手术时机。方法:回顾分析2004年4月至2008年2月37例急性非梗阻性胆源性胰腺炎患者实施LC的临床资料。结果:37例经非手术保守治疗2～11d后,血、尿淀粉酶恢复正常,成功实施了LC,术后均恢复顺利,当日或次日下床活动,36～72h后进食,无并发症发生。住院10～24d,平均13d。随访3～12个月,均无复发。结论:急性非梗阻性胆源性胰腺炎经非手术治疗病情控制后如能慎重选择病例,做好必要的围手术期处理,实施LC是安全的。
Objective：To explore the feasibility and optimal time of laparoseopie cholecysteetomy （LC） in the management of acute biliary pancreatitis（ABP）. Methods：The clinical data of 37 eases acute biliary pancreatitis from Apr. 2004 to Feb. 2008 were reviewed retrospectively. Results：When serum and urinary amylase levels returned to normal after patients were treated by conservative therapy for 2-11 days, LC was performed successfully. All the patients recovered well within 48 hours, and no severe complications were observed. The mean hospital-stays were 13 days （ 10-24 days）. Follow-up observations for 3-12 months in the 37 cases showed no recurrent attacks of panereatitis. Conclusions ： After clinical manitestation improvement and careful selection of patients the treatment of ABP can be accomplished effectively and safely by LC.
出处
《腹腔镜外科杂志》
2009年第1期26-27,共2页
Journal of Laparoscopic Surgery
关键词
胰腺炎
胆结石
胆囊切除术
腹腔镜
Pancreatitis
Cholelitbiasis
Cholecystectomy, laparoscopic
